Allison Stephen, Bastiampillai Tarun, Kisely Steve, Looi Jeffrey Cl
College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia; Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia.
Department of Psychiatry, Monash University, Clayton, VIC, Australia; College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia; Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia.
Australas Psychiatry. 2025 Aug;33(4):623-628. doi: 10.1177/10398562251351445. Epub 2025 Jul 1.
ObjectivesWe discuss the paradox of young people dropping out of the Australian Government national youth psychotherapy programme (headspace), which is co-designed by youth people.ConclusionsA very large percentage of young people drop out of psychotherapy before completing evidence-based treatment. Youth-friendly psychotherapy services are hypothesised to improve therapeutic engagement and psychosocial outcomes. However, empowered young people may not choose greater engagement with psychotherapy. For example, the Australian Government recognises the right to youth-friendly services and headspace emphasises providing young people with access to support where, when, and how they want. Most appear to want very short courses of psychotherapy (1-3 sessions), which are associated with lower than expected psychosocial outcomes compared to other real-world services. Only the 20% who engage in 6 or more sessions have outcomes comparable to other psychotherapies. These findings have international significance because similar youth-friendly psychotherapy programmes are being established around the world.
目标
我们探讨了年轻人退出由年轻人共同设计的澳大利亚政府国家青年心理治疗项目（headspace）这一矛盾现象。
结论
很大比例的年轻人在完成循证治疗前就退出了心理治疗。假设对年轻人友好的心理治疗服务能提高治疗参与度和心理社会治疗效果。然而，获得自主权的年轻人可能不会选择更多地参与心理治疗。例如，澳大利亚政府承认获得对年轻人友好服务的权利，而headspace强调为年轻人提供他们想要的时间、地点和方式的支持。大多数人似乎想要非常短疗程的心理治疗（1 - 3次治疗），与其他现实世界的服务相比，这种短疗程治疗的心理社会治疗效果低于预期。只有参与6次或更多次治疗的20%的人取得了与其他心理治疗相当的效果。这些发现具有国际意义，因为世界各地都在建立类似的对年轻人友好的心理治疗项目。
